滑石(六两) 甘草(一两) 红曲(五钱)
血痢者,此方主之。
滑石能清六腑之热,甘草能调六腑之气,红曲能和六腑之血。
滑石(六两) 甘草(一两) 干姜(五钱)
姜汁为丸。
白痢者,此方主之。
白痢为寒,中世之谬论也。刘守真氏出,始以白痢责之热伤气,可谓开发群 。是方也
。滑石寒而淡,寒则能除六腑之热,淡则能利六腑之湿;甘草得天地冲和之气,故性平而调
六腑;干姜得天地正义之气,故入气而辟湿邪。又曰干姜性温,可使从治,经曰佐以所利,
是故用之。
黄连(二十两,吴茱萸汤润过炒) 木香(四两八钱,不见火)
治噤口痢,加石莲肉八两。
下痢赤白相杂,里急后重者,此方主之。
黄连苦而燥,若能胜热,燥能胜湿;木香辛而苦,辛能开滞,苦能泻实;石莲肉味苦而
浓,为阴中之阴,故能破噤口痢之结热。经曰有余者折之,此之谓也。
木香 槟榔 青皮(去穣,炒) 陈皮(去白) 枳壳(去穣,麸炒) 黄柏(炒) 丑
末莪
术(醋煮) 三棱(醋煮) 当归(酒洗) 香附 黄芩(酒炒) 大黄(酒浸) 黄连(吴
茱萸汤润过
炒)
水丸梧子大,每服五、六十丸。
痢疾初作,里急后重,肠胃中有积滞者,此丸主之。
《内经》曰湿淫所胜,平以苦热,故用木香;热者寒之,故用黄连、黄芩、黄柏;抑者
散之,故用青、陈、香附;强者泻之,故用大黄、丑末;逸者行之,故用槟榔、枳壳;留者
攻之,故用莪术、三棱;燥者濡之,故用当归。是方也,惟质实者堪与之,虚者非所宜也,
故曰虚者十补,勿一泻之。
滑石(六两) 甘草(一两) 红曲(五钱)
对于血痢(大便带血的痢疾),此方为主治方。
滑石能够清除六腑(指胆、胃、小肠、大肠、膀胱、三焦)的热邪,甘草能够调和六腑的气机,红曲能够调和六腑的血分。
滑石(六两) 甘草(一两) 干姜(五钱)
用姜汁制作成丸剂。
对于白痢(大便呈白色的痢疾),此方为主治方。
认为白痢属于寒证,是后世医家的错误观点。刘完素(字守真)提出后,才开始将白痢归咎于热邪损伤气分,这可以说是开启了众人的智慧。这个方子中,滑石性寒且味淡,寒性能清除六腑的热邪,淡味能利导六腑的湿邪;甘草禀受天地中和之气,所以性质平和而能调和六腑;干姜禀受天地刚正之气,所以入气分而驱散湿邪。又说干姜性温,可以采用“从治”法(即顺从病势假象而治的方法),《内经》说“佐以所利”,因此使用它。
黄连(二十两,用吴茱萸汤润透后炒制) 木香(四两八钱,不经过火炒)
治疗噤口痢(痢疾重症,患者不能进食或一食即吐),加石莲肉八两。
对于下痢赤白相杂、腹痛窘迫、肛门重坠者,此方为主治方。
黄连味苦而燥,苦能胜热,燥能胜湿;木香味辛而苦,辛能开郁滞,苦能泻实邪;石莲肉味苦而浓烈,属于阴中之阴,所以能破除噤口痢的结聚热邪。《内经》说“有余的病邪要用折损的方法”,说的就是这个道理。
木香 槟榔 青皮(去除橘络,炒制) 陈皮(去除白色内层) 枳壳(去除橘络,用麦麸炒制) 黄柏(炒制) 牵牛子末 莪术(醋煮) 三棱(醋煮) 当归(酒洗) 香附 黄芩(酒炒) 大黄(酒浸) 黄连(用吴茱萸汤润透后炒制)
制成水泛丸,大小如梧桐子,每次服用五六十丸。
对于痢疾初起,出现里急后重(腹部急迫疼痛,排便时肛门重坠感),肠胃中有积滞停滞者,此丸为主治方。
《内经》说:“湿气过盛,用苦热之品来平抑”,所以使用木香;“热邪要用寒凉药来清解”,所以使用黄连、黄芩、黄柏;“郁结的要发散”,所以使用青皮、陈皮、香附;“强盛的要泻下”,所以使用大黄、牵牛子末;“停滞的要行气”,所以使用槟榔、枳壳;“留积的要攻逐”,所以使用莪术、三棱;“干燥的要滋润”,所以使用当归。这个方子,只有体质结实的人适合使用,体虚的人不适合,所以说“虚证应当十次补益,不要一次泻下”。
Hua Shi (Lapis Talcum, 6 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang), Hong Qu (Massa Medicata Fermentata Rubra, 5 qian)
For Xue Li (Dysentery with blood in the stool), this formula is indicated.
Hua Shi can clear heat from the Six Fu Organs (the Gallbladder, Stomach, Small Intestine, Large Intestine, Bladder, and San Jiao); Gan Cao can harmonize the Qi of the Six Fu Organs; Hong Qu can harmonize the Blood of the Six Fu Organs.
Hua Shi (Lapis Talcum, 6 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang), Gan Jiang (Zingiberis Rhizoma, 5 qian)
Form pills using Ginger Juice (Sheng Jiang Zhi).
For Bai Li (Dysentery with white mucus in the stool), this formula is indicated.
The view that Bai Li is caused by Cold is a fallacy of later generations. After Liu Wansu (courtesy name Shouzhen) emerged, he began to attribute Bai Li to Heat damaging Qi, which can be said to have enlightened many. In this formula, Hua Shi is cold and bland; its cold nature can eliminate heat in the Six Fu Organs, and its bland nature can promote the drainage of dampness in the Six Fu Organs; Gan Cao receives the harmonious Qi of Heaven and Earth, thus its nature is neutral and it harmonizes the Six Fu Organs; Gan Jiang receives the upright Qi of Heaven and Earth, thus it enters the Qi level and dispels damp pathogenic factors. It is also said that Gan Jiang is warm in nature, allowing for "conforming treatment" (treating according to the apparent nature of the disease); as the Classic says "assist with what is beneficial," therefore it is used.
Huang Lian (Coptidis Rhizoma, 20 liang, moistened with Wu Zhu Yu Tang and stir-fried), Mu Xiang (Vladimiriae Radix, 4 liang 8 qian, not subjected to fire)
Treats Jin Kou Li (Jin Kou Dysentery, a severe form of dysentery characterized by inability to eat or vomiting upon eating); add Shi Lian Rou (Nelumbinis Semen, 8 liang).
For dysentery with mixed red and white discharge, accompanied by tenesmus (urgent desire to defecate with heavy sensation in the rectum), this formula is indicated.
Huang Lian is bitter and drying; bitterness can overcome heat, and dryness can overcome dampness; Mu Xiang is acrid and bitter; acridity can open stagnation, and bitterness can purge excess; Shi Lian Rou is bitter and concentrated, belonging to Yin within Yin, thus it can break the accumulated heat causing Jin Kou Li. The Classic says "excess should be reduced," which refers to this principle.
Mu Xiang (Vladimiriae Radix), Bing Lang (Arecae Semen), Qing Pi (Citri Reticulatae Pericarpium Viride, remove albedo, stir-fried), Chen Pi (Citri Reticulatae Pericarpium, remove albedo), Zhi Qiao (Aurantii Fructus, remove albedo, stir-fried with bran), Huang Bo (Phellodendri Cortex, stir-fried), Niu Xi (not specified, likely Niu Bang Zi or similar, text says "Chou Mo" referring to Niu Xi powder? Actually "Chou" usually refers to Niu Xi/Fructus Phyllanthi, here likely Niu Xi/Melastomatis Dodecandri Fructus or similar laxative, standard term: Niu Xi powder), E Zhu (Curcumae Rhizoma, boiled in vinegar), San Leng (Sparganii Rhizoma, boiled in vinegar), Dang Gui (Angelicae Sinensis Radix, washed in wine), Xiang Fu (Cyperi Rhizoma), Huang Qin (Scutellariae Radix, stir-fried in wine), Da Huang (Rhei Radix et Rhizoma, soaked in wine), Huang Lian (Coptidis Rhizoma, moistened with Wu Zhu Yu Tang and stir-fried)
Make water pills, size of Sophora seeds. Take 50-60 pills per dose.
For early-stage Li Ji (Dysentery) presenting with tenesmus and accumulation/stagnation in the intestines and stomach, this pill is indicated.
The Neijing states: "When dampness prevails excessively, pacify it with bitter-hot substances," hence Mu Xiang is used; "Heat is treated with cold," hence Huang Lian, Huang Qin, and Huang Bo are used; "Depression is dispersed," hence Qing Pi, Chen Pi, and Xiang Fu are used; "Excess is purged," hence Da Huang and Chou Mo are used; "Stagnation is moved," hence Bing Lang and Zhi Qiao are used; "Retention is attacked," hence E Zhu and San Leng are used; "Dryness is moistened," hence Dang Gui is used. This formula is suitable only for those with robust constitution; it is not suitable for the deficient. Therefore, it is said: "In deficiency, tonify ten times; do not purge even once."